Skip to main content

Increase in Peripheral CD3CD56brightCD16 Natural Killer Cells in Hashimoto’s Thyroiditis Associated with HHV-6 Infection

  • Chapter
  • First Online:
Advances in Microbiology, Infectious Diseases and Public Health

Abstract

Hashimoto’s thyroiditis (HT) is a very common autoimmune disease of the thyroid. In addition to genetic background, several viruses, including herpesviruses, have been suggested to play a role as possible environmental triggers of disease, but conclusive data are still lacking. Previous results showed that HT patients have an increased cellular immune response directed against the HHV-6 U94 protein and increased NK activity directed against HHV-6 infected thyrocytes.

In this study, we characterized the antiviral antibody response and the NK cells activity and subtype in HHV-6 infected HT patients. The results showed that HT subjects have increased prevalence and titer of anti-U94 antibodies and a higher amount of CD3-CD56brightCD16NK cell percentages compared to controls. Furthermore, the cell activation of CD3CD56bright NK cells in HT patients significantly correlates with TPO and Tg Ab levels.

The results suggest that HHV-6 might contribute to HT development, increasing NK cell secretion of inflammatory cytokines that could sustain the persistence of an inflammatory status in HT patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Alvarez-Lafuente R, Fernandez-Gutierrez B, de Miguel S, Jover JA, Rollin R, Loza E, Clemente D, Lamas JR (2005) Potential relationship between herpes viruses and rheumatoid arthritis: analysis with quantitative real time polymerase chain reaction. Ann Rheum Dis 64(9):1357–1359. doi:64/9/1357 [pii]10.1136/ard.2004.033514

  • Alvarez-Lafuente R, Martinez A, Garcia-Montojo M, Mas A, De Las Heras V, Dominguez-Mozo MI, Maria Del Carmen C, Lopez-Cavanillas M, Bartolome M, Gomez de la Concha E, Urcelay E, Arroyo R (2010) MHC2TA rs4774C and HHV-6A active replication in multiple sclerosis patients. Eur J Neurol 17(1):129–135. doi:ENE2758 [pii]10.1111/j.1468-1331.2009.02758.x

  • Bertelsen LBPC, Kofod-Olsen E, Oster B, Höllsberg P, Agger R, Hokland M (2010) Human herpesvirus 6B induces phenotypic maturation without IL-10 and IL-12p70 production in dendritic cells. Scand J Immunol 71(6):431–439

    Article  CAS  PubMed  Google Scholar 

  • Boccara O, Lesage F, Regnault V, Lasne D, Dupic L, Bourdon-Lanoy E, Pannier S, Fraitag S, Audat F, Lecompte T, Hubert P, Bodemer C (2009) Nonbacterial purpura fulminans and severe autoimmune acquired protein S deficiency associated with human herpesvirus-6 active replication. Br J Dermatol 161(1):181–183. doi:BJD9264 [pii]10.1111/j.1365-2133.2009.09264.x

  • Broccolo F, Drago F, Paolino S, Cassina G, Gatto F, Fusetti L, Matteoli B, Zaccaria E, Parodi A, Lusso P, Ceccherini-Nelli L, Malnati MS (2009) Reactivation of human herpesvirus 6 (HHV-6) infection in patients with connective tissue diseases. J Clin Virol 46 (1):43–46. doi:S1386-6532(09)00191-7 [pii]10.1016/j.jcv.2009.05.010

  • Caruso A, Rotola A, Comar M, Favilli F, Galvan M, Tosetti M, Campello C, Caselli E, Alessandri G, Grassi M, Garrafa E, Cassai E, Di Luca D (2002) HHV-6 infects human aortic and heart microvascular endothelial cells, increasing their ability to secrete proinflammatory chemokines. J Med Virol 67(4):528–533

    Article  CAS  PubMed  Google Scholar 

  • Caruso A, Caselli E, Fiorentini S, Rotola A, Prandini A, Garrafa E, Saba E, Alessandri G, Cassai E, Di Luca D (2009) U94 of human herpesvirus 6 inhibits in vitro angiogenesis and lymphangiogenesis. Proc Natl Acad Sci U S A 106(48):20446–20451. doi:0905535106 [pii]10.1073/pnas.0905535106

  • Caselli E, Di Luca D (2007) Molecular biology and clinical associations of Roseoloviruses human herpesvirus 6 and human herpesvirus 7. New Microbiol 30(3):173–187

    CAS  PubMed  Google Scholar 

  • Caselli E, Boni M, Bracci A, Rotola A, Cermelli C, Castellazzi M, Di Luca D, Cassai E (2002) Detection of antibodies directed against human herpesvirus 6 U94/REP in sera of patients affected by multiple sclerosis. J Clin Microbiol 40(11):4131–4137

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Caselli E, Bracci A, Galvan M, Boni M, Rotola A, Bergamini C, Cermelli C, Dal Monte P, Gompels UA, Cassai E, Di Luca D (2006) Human herpesvirus 6 (HHV-6) U94/REP protein inhibits betaherpesvirus replication. Virology 346(2):402–414

    Article  CAS  PubMed  Google Scholar 

  • Caselli E, Zatelli MC, Rizzo R, Benedetti S, Martorelli D, Trasforini G, Cassai E, Degli Uberti EC, Di Luca D, Dolcetti R (2012a) Virologic and immunologic evidence supporting an association between HHV-6 and Hashimoto’s Thyroiditis. PLoS Pathog 8(10):e1002951. doi:10.1371/journal.ppat.1002951PPATHOGENS-D-12-01343 [pii]

  • Caselli E, Zatelli M, Rizzo R, Benedetti S, Martorelli D, Trasforini G, Cassai E, degli Uberti EC, Di Luca D, Dolcetti R (2012b) Virologic and immunologic evidence supporting an association between HHV-6 and Hashimoto’s thyroiditis. PLoS Pathog 8:e1002951

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Challoner PB, Smith KT, Parker JD, MacLeod DL, Coulter SN, Rose TM, Schultz ER, Bennett JL, Garber RL, Chang M et al (1995) Plaque-associated expression of human herpesvirus 6 in multiple sclerosis. Proc Natl Acad Sci U S A 92(16):7440–7444

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cooper MAFT, Caligiuri MA (2001) The biology of human natural killer-cell subsets. Trends Immunol 22(11):633–640

    Article  CAS  PubMed  Google Scholar 

  • Di Luca D, Dolcetti R, Mirandola P, De Re V, Secchiero P, Carbone A, Boiocchi M, Cassai E (1994) Human herpesvirus 6: a survey of presence and variant distribution in normal peripheral lymphocytes and lymphoproliferative disorders. J Infect Dis 170(1):211–215

    Article  PubMed  Google Scholar 

  • Fox RI, Saito I, Chan EK, Josephs S, Salahuddin SZ, Ahlashi DV, Staal FW, Gallo R, Pei-Ping H, Le CS (1989) Viral genomes in lymphomas of patients with Sjogren’s syndrome. J Autoimmun 2(4):449–455

    Article  CAS  PubMed  Google Scholar 

  • Gustafsson RK, Engdahl EE, Hammarfjord O, Adikari SB, Lourda M, Klingström J, Svensson M, Fogdell-Hahn A (2013) Human herpesvirus 6A partially suppresses functional properties of DC without viral replication. PLoS One 8(3):e58122

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hidaka YAN, Iwatani Y, Kaneda T, Nasu M, Mitsuda N, Tanizawa O, Miyai K (1992) Increase in peripheral natural killer cell activity in patients with autoimmune thyroid disease. Autoimmunity 11:239

    Article  CAS  PubMed  Google Scholar 

  • Kondo K, Kondo T, Okuno T, Takahashi M, Yamanishi K (1991) Latent human herpesvirus 6 infection of human monocytes/macrophages. J Gen Virol 72(Pt 6):1401–1408

    Article  CAS  PubMed  Google Scholar 

  • Krueger GR, Sander C, Hoffmann A, Barth A, Koch B, Braun M (1991) Isolation of human herpesvirus-6 (HHV-6) from patients with collagen vascular diseases. Vivo 5(3):217–225

    CAS  Google Scholar 

  • Kubo T SK, Kobayashi D, Motegi A, Kobayashi O, Takeshita S, Nonoyama S (2006) A case of HHV-6 associated acute necrotizing encephalopathy with increase of CD56bright NKcells. Scand J Infect Dis 38(11–12):1122–1125

    Google Scholar 

  • Kumagai TYT, Yoshida M, Okui T, Ihira M, Nagata N, Yano S, Shiraki K, Yamada M, Ichihara K, Asano Y (2006) Time course characteristics of human herpesvirus 6 specific cellular immune response and natural killer cell activity in patients with exanthema subitum. J Med Virol 78(6):792–799

    Article  CAS  PubMed  Google Scholar 

  • Mikoś HMM, Obara-Moszyńska M, Niedziela M (2014) The role of the immune system and cytokines involved in the pathogenesis of autoimmune thyroid disease(AITD). Endokrynol Pol 65(2):150–155

    Article  PubMed  Google Scholar 

  • Poli A, Michel T, Theresine M, Andres E, Hentges F, Zimmer J (2009) CD56bright natural killer (NK) cells: an important NK cell subset. Immunology 126(4):458–465. doi:IMM3027 [pii]10.1111/j.1365-2567.2008.03027.x

  • Potenza L, Luppi M, Barozzi P, Rossi G, Cocchi S, Codeluppi M, Pecorari M, Masetti M, Di Benedetto F, Gennari W, Portolani M, Gerunda GE, Lazzarotto T, Landini MP, Schulz TF, Torelli G, Guaraldi G (2008) HHV-6A in syncytial giant-cell hepatitis. N Engl J Med 359(6):593–602. doi:359/6/593 [pii]10.1056/NEJMoa074479

  • Ranger-Rogez S, Vidal E, Liozon F, Denis F (1994) Primary Sjogren’s syndrome and antibodies to human herpesvirus type 6. Clin Infect Dis 19(6):1159–1160

    Article  CAS  PubMed  Google Scholar 

  • Rizzo RGV, Casetta I, Caselli E, De Gennaro R, Granieri E, Cassai E, Di Luca D, Rotola A (2012) Altered natural killer cells’ response to herpes virus infection in multiple sclerosis involves KIR2DL2 expression. J Neuroimmunol 251:55–64

    Article  CAS  PubMed  Google Scholar 

  • Rotola A, Ravaioli T, Gonelli A, Dewhurst S, Cassai E, Di Luca D (1998) U94 of human herpesvirus 6 is expressed in latently infected peripheral blood mononuclear cells and blocks viral gene expression in transformed lymphocytes in culture. Proc Natl Acad Sci U S A 95(23):13911–13916

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rotola A, Merlotti I, Caniatti L, Caselli E, Granieri E, Tola MR, Di Luca D, Cassai E (2004) Human herpesvirus 6 infects the central nervous system of multiple sclerosis patients in the early stages of the disease. Mult Scler 10(4):348–354

    Article  CAS  PubMed  Google Scholar 

  • Scotet E, Peyrat MA, Saulquin X, Retiere C, Couedel C, Davodeau F, Dulphy N, Toubert A, Bignon JD, Lim A, Vie H, Hallet MM, Liblau R, Weber M, Berthelot JM, Houssaint E, Bonneville M (1999) Frequent enrichment for CD8 T cells reactive against common herpes viruses in chronic inflammatory lesions: towards a reassessment of the physiopathological significance of T cell clonal expansions found in autoimmune inflammatory processes. Eur J Immunol 29(3):973–985

    Article  CAS  PubMed  Google Scholar 

  • Storkus WJHD, Salter RD, Dawson JR, Cresswell P (1987) NK susceptibility varies inversely with target cell class I HLA antigen expression. J Immunol 138(6):1657–1659

    CAS  PubMed  Google Scholar 

  • Thomas D, Liakos V, Michou V, Kapranos N, Kaltsas G, Tsilivakos V, Tsatsoulis A (2008) Detection of herpes virus DNA in post-operative thyroid tissue specimens of patients with autoimmune thyroid disease. Exp Clin Endocrinol Diabetes 116(1):35–39

    Article  CAS  PubMed  Google Scholar 

  • Vitale M, Della Chiesa M, Carlomagno S, Romagnani C, Thiel A, Moretta L, Moretta A (2004) The small subset of CD56brightCD16- natural killer cells is selectively responsible for both cell proliferation and interferon-gamma production upon interaction with dendritic cells. Eur J Immunol 34(6):1715–1722. doi:10.1002/eji.200425100

    Article  CAS  PubMed  Google Scholar 

  • Wu ZSC, Reichel JJ, Just M, Mertens T (2015) Natural killer cells can inhibit the transmission of human cytomegalovirus in cell culture by using mechanisms from innate and adaptive immune responses. J Virol 89(5):2906–2917

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This work was supported by grants from University of Ferrara (FAR).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dario Di Luca .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Rizzo, R. et al. (2015). Increase in Peripheral CD3CD56brightCD16 Natural Killer Cells in Hashimoto’s Thyroiditis Associated with HHV-6 Infection. In: Donelli, G. (eds) Advances in Microbiology, Infectious Diseases and Public Health. Advances in Experimental Medicine and Biology(), vol 897. Springer, Cham. https://doi.org/10.1007/5584_2015_5010

Download citation

Publish with us

Policies and ethics